Redisplacement after closed reduction of forearm fractures in children.
Reangulation and displacement after closed reduction of pediatric forearm fractures were reviewed in 90 patients treated with 1978-1984. All fractures were remanipulated and followed to union. No complications occurred and all had a functionally satisfactory result. Both intrinsic and extrinsic factors were identified as contributing to the complication of reangulation/displacement. Nonepiphyseal fractures were safely remanipulated up to 24 days postfracture, with the majority at 1-2 weeks. We conclude that 7% of pediatric forearm fractures treated by closed reduction are subject to reangulation and/or displacement following routine acceptable primary treatment, and that remanipulation provides a safe, effective means to obtain and maintain reduction.
Voto
S J
SJ
Department of Orthopaedic Surgery, Children's Hospital Medical Center, Akron, OH 44308.
Weiner
D S
DS
Leighley
B
B
D000293:Adolescent; D001696:Biomechanical Phenomena; D002648:Child; D002675:Child, Preschool; D005260:Female; D005592:Fracture Fixation; D005599:Fractures, Ununited / Q000000981:diagnostic imaging* / Q000209:etiology / Q000628:therapy; D006801:Humans; D007223:Infant; D008297:Male; D008349:Manipulation, Orthopedic; D011859:Radiography; D011885:Radius Fractures / Q000150:complications / Q000000981:diagnostic imaging / Q000628:therapy*; D012189:Retrospective Studies; D014458:Ulna Fractures / Q000150:complications / Q000000981:diagnostic imaging / Q000628:therapy*